| NPI | 1457650103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 259215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 259215) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2024-05-09 |